Publications

Publications

Effects of the Affordable Care Act on the Health Care Safety Net in Detroit

Since its passage in 2010, the Affordable Care Act (ACA) has introduced a series of health care financing and delivery reforms to expand coverage, invest in health care infrastructure, and implement changes to improve quality and costs. In 2014, the ACA’s coverage expansion began in Michigan through the launches of the health insurance marketplaces on January 1 and the Healthy …

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Effects of the Affordable Care Act on Health Insurance Coverage in Southeast Michigan

Combined with a decreasing unemployment rate, the Affordable Care Act’s (ACA) coverage expansion contributed to a sharp decrease in Michigan’s uninsured rate in 2014. However, effects of the coverage expansion have been uneven, and socioeconomic and geographic disparities in coverage remain across the state. Since the launch of the ACA coverage expansion in 2014, millions of previously uninsured Americans have …

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Changes in Health Insurance Coverage in the United States, 2014

These figures describe the health insurance coverage changes that occurred during the 2014 calendar year, the first year of the Affordable Care Act’s (ACA) coverage expansion provisions. These provisions included the launch of the health insurance marketplaces in all states and the optional Medicaid expansion adopted by 26 states and the District of Columbia in 2014. Overall, the number of …

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Cover Michigan Survey: The Uninsured in Michigan

This brief examines the characteristics of those in Michigan who reported being uninsured, approximately two years after the ACA’s major coverage provisions went into effect beginning in 2014. A major goal of the Affordable Care Act was to reduce the number of Americans who are uninsured. The main provisions of the law that were intended to help achieve that reduction …

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Prevalence, medication, and therapy variations for child Attention Deficit Hyperactivity Disorder (ADHD) in Michigan

This brief examines ADHD treatment for Michigan children (aged 4 to 17), including medication and behavioral therapy, and regional variation in treatment patterns. Attention deficit hyperactivity disorder (ADHD) is the most common neurobiological disorder among children in the U.S. Hyperactivity, impulsiveness, and difficulty staying focused or paying attention are common symptoms of ADHD, and may continue into adulthood. Children with ADHD …

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Hospital Uncompensated Care, 2014

2014 marked the launch of the health insurance marketplaces and Medicaid expansion under the Affordable Care Act (ACA). These programs expanded health insurance coverage to many previously uninsured residents, resulting in sharp decreases in the uninsured rate both nationwide and in Michigan. Expanded access to health insurance can benefit health care providers, such as hospitals, financially through reducing their uncompensated …

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The uninsured in Michigan: Who benefited most from the ACA?

In 2014, millions of previously uninsured Americans gained health insurance coverage through the Affordable Care Act’s (ACA) Medicaid expansion and financial assistance available through the health insurance marketplace. These programs, combined with Michigan’s unemployment rate dipping to its lowest level since 2007, contributed to Michigan’s significant decrease in the number of uninsured residents in 2014. This brief identifies which groups …

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Affordable Care Act funding: An analysis of grant programs under health care reform

As part of the Patient Protection and Affordable Care Act (ACA), which was signed into law on March 23, 2010, Congress appropriated funding to expand access to care, implement private insurance reforms, and enhance public health infrastructure. The ACA provided for both annual appropriations and multiple-year appropriations. Many ACA funds ended in fiscal year 2014 or 2015, including all market …

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The Affordable Care Act and its effect on employers: Trend analysis

The Patient Protection and Affordable Care Act of 2010 (ACA) contains several provisions that directly affect employers and impact the employer-sponsored health insurance (ESI) system through which the majority of Americans receive coverage. While some experts predicted declines of 4.5 percent or more in employer-sponsored coverage from 2010 to 2016, ESI remained stable in Michigan in 2014, with the continuation …

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Cover Michigan 2014 Survey: Satisfaction with Health Coverage in Michigan

The third open enrollment period for individual coverage on Michigan’s health insurance marketplace began on November 1, 2015, and will continue until January 31, 2016.(1)U.S. Centers for Medicare & Medicaid Services. November 2015. 2016 health insurance dates and deadlines.https://www.healthcare.gov/quick-guide/dates-and-deadlines/ (accessed 11/4/15) The average Michigan consumer will have 64 plans to choose from during the 2015 open enrollment period.[footnote]J. Fangmeier, 2015 …

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References

References
1 U.S. Centers for Medicare & Medicaid Services. November 2015. 2016 health insurance dates and deadlines.https://www.healthcare.gov/quick-guide/dates-and-deadlines/ (accessed 11/4/15)